Revista Cubana de Medicina Militar
On-line version ISSN 1561-3046
PALOMINO BESADA, Amada Belkis; SUAREZ CONEJERA, Ana María and BRUNATE POZO, Mercedes. Endoscopic sclerotherapy in high digestive bleeding of non-variceal origin. Rev Cub Med Mil [online]. 2007, vol.36, n.2, pp. 0-0. ISSN 1561-3046.
To demonstrate possibilities of technique from endoluminal injections as therapy using vasoconstrictor substances for suppression of bleeding episodes in high digestive tract of non-varicella cause, a retrospective study was performed including 110 patients underwent emergence endoscopy over a year at “Carlos J. Finlay” Central Military Hospital . From these, only in 30 % (27.2 %) it was necessary endoscopic treatment, classified as Forrest 1.12 (40 %) y Forrest II18 (60 %). Therapeutical method injection-therapy. Two patients presenting with active rebleeding at 48 hours (7.14 %), and another one (3.5 %) presenting with signs of recent bleeding; the three patients were injected, and; control endoscopy was performed at following 48 hours, without signs of rebleeding. Hemostasis at the end of treatment as a successful evolution criterion of it was of 93.3 % with a failure in two patients (6.6 %). Fifty six percentage (56 %) had hemoglobin figures lower than 10 g/L, and it was necessary 2.6 IU as average of transfusions. Average hospital stage was of 5.8 days. In 10 % it was necessary surgical intervention. lethal rate was of 0.9 %, and mortality was of 0.10 %. We conclude that procedure maintains its usefulness and validity as a therapeutical method in these cases.
Keywords : Bleeding; high digestive tract; peptic ulcer; endoluminal injection therapy.